دورية أكاديمية
Impact of participation in a surgical site infection surveillance network: results from a large international cohort study.
| العنوان: | Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. |
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| المؤلفون: | Abbas, Mohamed, de Kraker, Marlieke Ea, Aghayev, Emin, Astagneau, Pascal, Aupee, Martine, Behnke, Michael, Bull, Ann, Choi, Hee Jung, de Greeff, Sabine C, Elgohari, Suzanne, Gastmeier, Petra, Harrison, Wendy, Koek, Mayke Bg, Lamagni, Theresa, Limon-Cáceres, Enric, Løwer, Hege Line, Lyytikäinen, Outi, Marimuthu, Kalisvar, Marquess, John, McCann, Rebecca, Prantner, Ida, Presterl, Elisabeth, Pujol, Miquel, Reilly, Jacqui, Roberts, Christopher, Lusignani, Luigi Segagni, Si, Damin, Szilágyi, Emese, Tanguy, Juliette, Tempone, Simone, Troillet, Nicolas, Worth, Leon, Pittet, Didier, Harbarth, Stephan |
| المصدر: | Abbas, Mohamed; de Kraker, Marlieke Ea; Aghayev, Emin; Astagneau, Pascal; Aupee, Martine; Behnke, Michael; Bull, Ann; Choi, Hee Jung; de Greeff, Sabine C; Elgohari, Suzanne; Gastmeier, Petra; Harrison, Wendy; Koek, Mayke Bg; Lamagni, Theresa; Limon-Cáceres, Enric; Løwer, Hege Line; Lyytikäinen, Outi; Marimuthu, Kalisvar; Marquess, John; McCann, Rebecca; . (2019). Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. Journal of hospital infection, 102(3), pp. 267-276. Elsevier 10.1016/j.jhin.2018.12.003 |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2019 |
| المجموعة: | BORIS (Bern Open Repository and Information System, University of Bern) |
| مصطلحات موضوعية: | 610 Medicine & health, 360 Social problems & social services |
| الوصف: | INTRODUCTION Surveillance of surgical site infections (SSI) is a core component of effective infection control practices, though its impact has not been quantified on a large scale. This study aims to determine the time-trend of SSI rates in surveillance networks. METHODS SSI surveillance networks provided procedure-specific data on numbers of SSIs and operations, stratified by hospitals' year of participation in the surveillance, to capture length of participation as an exposure. Pooled and procedure-specific random-effects Poisson regression was performed to obtain yearly rate ratios (RR) with 95% confidence intervals (CI), and including surveillance network as random intercept. RESULTS Of 36 invited networks, 17 networks from 15 high-income countries across Europe, Asia and Australasia participated in the study. Aggregated data on 17 surgical procedures (cardio-vascular, digestive, gynaecologic-obstetrical, neurosurgical, and orthopaedic) were collected, resulting in data concerning 5,831,737 operations and 113,166 SSIs. There was a significant decrease in overall SSI rates over surveillance time resulting in a 35% reduction at the ninth (final) included year of surveillance (RR 0.65; 95% CI 0.63-0.67). There were large variations across procedure-specific trends, but strong consistent decreases were observed for colorectal surgery, herniorrhaphy, Caesarean section, hip prosthesis, and knee prosthesis. CONCLUSION In this large, international cohort study, pooled SSI rates showed a were associated with a stable and sustainable decrease after joining a SSI surveillance network; a causal relationship is possible, although unproven. There was heterogeneity in procedure-specific trends. These findings support the pivotal role of surveillance in reducing infection rates and call for widespread implementation of hospital-based SSI surveillance in high-income countries. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://boris.unibe.ch/122505Test/ |
| الإتاحة: | https://doi.org/10.1016/j.jhin.2018.12.003Test https://boris.unibe.ch/122505/2/Abbas%20JHospInfect%202018_manuscript.pdfTest https://boris.unibe.ch/122505Test/ |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.4BBE3F33 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |